Article: Volume 12 Number 4 Page 126 - October 2019

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  Orth Update 2019; 12: 126-133

Orthodontics:  Tooth Autotransplantation Part 3: Surgical Planning and Technique

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Abstract: The practical aspects of pre-operative assessment and surgical procedure for autotransplantation are discussed in this part of the series. The success of tooth transplantation is dependent on case selection, careful planning and a surgical procedure that maintains viable periodontal ligament cells and intact cementum of the transplanted teeth. A thorough assessment of the donor tooth and recipient site is vital for successful planning and execution of tooth autotransplantation. The surgical procedure involves atraumatic extraction of the donor tooth, socket preparation and splinting of the transplanted tooth. Post-surgical procedures include monitoring of pulp and periodontal healing and restorative camouflage of the donor tooth.

Clinical relevance: Surgical planning and procedures are vital to the success of autotransplantation. Orthodontists should be aware of these factors and bear them in mind when preparing patients for autotransplantation to optimize surgical success.

Author notes: Hani Nazzal, BDS, MFDS RCS Ire, PhD, FDS RCS Canada, Lecturer and Locum Consultant in Paediatric Dentistry, University of Leeds (email: denha@leeds.ac.uk), Sophy Barber, BDS, MJDF(RCS Eng), MSc, MOrth(RCS Ed), Post-CCST Registrar in Orthodontics, Leeds Dental Institute, Zynab Jawad, BChD, MFDS RCSEng, MSc Orthodontics, MOrth RCSEd, Post-CCST Orthodontics, Leeds Dental Institute, Nadine Houghton, BDS, MFDS, MDSci, MOrth(RCS Eng), FDS Orth(RCS Eng), Consultant Orthodontist, Bradford Teaching Hospitals Foundation Trust and Monty Duggal, BDS, MDSc, FDS Paed Dent(RCS Eng), PhD, Professor in Paediatric Dentistry, National University Health System, Singapore.

Objective: To describe the assessment of the donor tooth and recipient site during planning and to highlight pre-surgical considerations, surgical procedure and post-surgical management of transplanted teeth.